Lower Abdominal and Round Ligament Pain

The round ligaments are ligaments that attach the uterus to the abdominal side wall. As the uterus grows, this can cause stretching of these ligaments. This pain is typically a pain that is felt in the lower abdomen close to the groin. It is noticed usually on the right or left sides and sometimes on both sides. These pains can sometimes be severe and can be worsened by stretching, exercise, or certain movements, i.e. rolling over in bed, standing up quickly, or twisting quickly. Even though the pain can be acute and severe, it is normal and is typically not something to worry about.

More serious causes of pain:

▪ Appendicitis—this is infection of the appendix. Symptoms of appendicitis typically include severe pain in the right side of the abdomen, nausea, vomiting, fever, and decreased appetite.

▪ Urinary tract infection—this pain is typically located very low and in the middle of the abdomen. You may also have burning with urination or the feeling of incomplete bladder emptying.

▪ Cholelithiasis or cholecystitis—this is infection or stones of the gall bladder. This pain is typically located in the upper right quadrant and starts around 30 minutes after eating. It may worsen with fatty or heavy meals. You can have associated nausea or vomiting.

If you have any pain that is concerning to you, please don’t hesitate to call the office.